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1104467737
CHANTELLE PONDER
SAN DIEGO, CA
NPI
1104467737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2019-10-04
Last Update Date
2019-10-04
Business Address
CHANTELLE PONDER IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
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Mailing Address
CHANTELLE PONDER IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number:
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